Dependent layering of venous refluxed contrast: A sign of critically low cardiac output

Mortality associated with cardiogenic shock can reach 80%. Although most often diagnosed clinically, the hemodynamics of cardiogenic shock may manifest on contrast-enhanced computed tomography as dependent layering of contrast within the inferior vena cava (IVC), a finding referred to as the "I...

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Bibliographic Details
Published in:Radiology case reports 2019-02, Vol.14 (2), p.230-234
Main Authors: Sullivan, Ian W, Hota, Partha, Dako, Farouk, Hajdinaj, Shqiponja, Davila, Blachy
Format: Article
Language:English
Subjects:
Cardiac
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Summary:Mortality associated with cardiogenic shock can reach 80%. Although most often diagnosed clinically, the hemodynamics of cardiogenic shock may manifest on contrast-enhanced computed tomography as dependent layering of contrast within the inferior vena cava (IVC), a finding referred to as the "IVC level sign." Herein we present 2 cases of the IVC level sign. Swift recognition of the IVC level sign and awareness of its dire prognostic implications is essential for achieving the best patient outcomes.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2018.10.021